Individual provider Active NPI

Michelle Pam Kaplan, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1124167267
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
052036 Issued in NY
Practice address
971 Jerome St
Brooklyn, NY 11207-9252
Phone
(718) 272-3300
Fax
(718) 272-3499
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 052036 NY Primary

Addresses

Primary practice location

971 Jerome St
Brooklyn, NY 11207-9252

Mailing address

2666 Batchelder St
Brooklyn, NY 11235-1602
Phone (718) 332-1029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110216000060 NY Practitioner - Clinical Social Worker 4688854151 Reassigns benefits to 3 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCCD Psychiatry Services PLLCGroup PAC ID 4082049036, 206 clinicians

Practice addresses (Care Compare)

109 W 27TH St
5S
New York, NY 10001-6208
Phone (833) 351-8255

1310 Rockaway Pkwy
Brooklyn, NY 11236-2339
Phone (718) 272-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
052036NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Queens Psychotherapy LCSW Services P.C. Clinical CurrentSince Jul 1, 2021 Accepting new patients
Institute for Community Living , Inc. CurrentSince Oct 1, 1984 Accepting new patients

Locations

1310 Rockaway Pkwy
Brooklyn, NY 11236
Phone (718) 257-3400

125 Broad St
Fl 3
New York, NY 10004
Phone (510) 857-3927

9520 63rd Rd
Ste J
Rego Park, NY 11374
Phone (718) 459-5812

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: michelle.kaplan.p1@direct.valerahealth.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124167267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2666 BATCHELDER ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351602",
            "telephone_number": "718-332-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 JEROME ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112079252",
            "telephone_number": "718-272-3300",
            "fax_number": "718-272-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPLAN",
        "first_name": "MICHELLE",
        "middle_name": "PAM",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "052036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.